Jobs for People with MS: National MS Society

Description

We are seeking an Operations Processor to join our team in the healthcare industry. This role is based in Minneapolis, Minnesota and offers a short term contract employment opportunity. The Operations Processor will serve as a crucial point of contact for Health Plan member grievances and internally identified potential quality of care issues. 90% remote.

Responsibilities:

• Serve as the main point of contact for Health Plan member grievances and potential quality of care issues

• Coordinate the process with receipt and initial processing, including data entry, record requests, and follow-ups for member grievances and other quality of care concerns from internal and external sources

• Maintain documentation in databases as required

• Coordinate and communicate with provider offices and other involved entities

• Ensure documentation is requested and received while managing TATs within Health Plan timelines

• Handle the processing of mail, which may require occasional visits to the office

• Support and assist with clinical trial operations

• Provide workstation support when needed

• Exhibit professional phone presence during all interactions

• Engage in the appeals process when necessary

• Understand and adhere to the timeline for each task and process

• Work with offshore teams for smooth operations and coordination

• Adhere to TRICARE and NIS standards and regulations.

Requirements • Proficiency in data entry and maintaining accurate documentation

• Experience in providing workstation support and handling phone presence

• Familiarity with healthcare industry-specific databases

• Ability to process mail efficiently and accurately

• Experience in clinical trial operations, including managing timelines and entity formation

• Skill in interviewing for data collection and handling appeals

• Knowledge of offshore operations and health plans, specifically TRICARE and NIS systems

• Aptitude for training other team members to ensure quality of operations

• Experience with receipt management and auditing

• Ability to work under pressure and meet deadlines.

Robert Half is the world’s first and largest specialized talent solutions firm that connects highly qualified job seekers to opportunities at great companies. We offer contract, temporary and permanent placement solutions for finance and accounting, technology, marketing and creative, legal, and administrative and customer support roles.

Robert Half works to put you in the best position to succeed. We provide access to top jobs, competitive compensation and benefits, and free online training. Stay on top of every opportunity - whenever you choose - even on the go. Download the Robert Half app (https://www.roberthalf.com/us/en/mobile-app) and get 1-tap apply, notifications of AI-matched jobs, and much more.

All applicants applying for U.S. job openings must be legally authorized to work in the United States. Benefits are available to contract/temporary professionals, including medical, vision, dental, and life and disability insurance. Hired contract/temporary professionals are also eligible to enroll in our company 401(k) plan. Visit roberthalf.gobenefits.net for more information.

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